| Lauren Evanczyk, APRN | |
|
720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 | |
| (502) 588-3650 | |
| (502) 588-7852 |
| Full Name | Lauren Evanczyk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 720 2nd Ave Ste 102, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093181422 | NPI | - | NPPES |
| 201336210 | Medicaid | IN | |
| 3009656 | Other | KY | STATE LICENSE |
| 7100391180 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71006895A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3009656 (Kentucky) | Primary |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Evanczyk, APRN Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Lauren Evanczyk, APRN 720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 Ph: (502) 588-3650 |
Marcia Atherton, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1048 Ashley St Ste 103a, Bowling Green, KY 42103 Phone: 270-599-0958 | |
Mrs. Kamala Mechelle Brooks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1777 Ashley Cir, Bowling Green, KY 42104 Phone: 270-781-4090 | |
Paula Devore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103 Phone: 270-745-7246 Fax: 270-282-2027 | |
Mrs. Demara Andrea Goodrich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Fairway St, Bowling Green, KY 42103 Phone: 270-781-3910 | |
Amy Hudson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104 Phone: 270-746-6330 | |
Stephanie N Marsee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5575 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-282-7088 Fax: 270-782-6438 | |
Mrs. Shellie D Hardcastle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1808 Fax: 270-796-5516 |